| NPI | 1487795522 |
|---|---|
| Former Name | DEANNE ZOTTER BONIFAZI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS007150L) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS007150L) |
| Enumeration Date | 2007-02-10 |
| Last Update Date | 2008-09-29 |